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WorksheetsEMS 111 Week 10 part two
Total questions: 20
Worksheet time: 11mins
A 66-year-old male with a history of chronic hypertension complains of a sudden-onset headache, visual disturbances, and weakness on the left side of his body. During your focused exam, you note his speech is confused and slurred. His blood pressure is 218/130 mmHg, pulse is thready at 126 bpm, and respirations are 20 and unlabored. Which of the following conditions is most likely based on your ongoing assessment findings?
Transient Ischemic Attach (TIA)
Acute Coronary Syndrome (ACS)
Complex Migraine
Hemorrhagic stroke
A 38-year-old female with a history of gallstones complains of right upper quadrant pain. During transport, she begins vomiting and appears pale and diaphoretic. What does this change most likely indicate?
Progression of cholecystitis to a more serious condition
Ruptured Ovarian Cyst
Normal passage of gallstones
New onset of appendicitis
You respond to a call for a 52-year-old male found sitting on the floor. His family reports he had sudden confusion, stared into space without responding, and made repetitive lip-smacking movements. The patient is alert to voice but not oriented. Vitals: HR 110, BP 150/92, RR 22, SpO2 96% on room air, glucose 92 mg/dL. Based on your initial impression, you should suspect?
Seizure
Stroke/CVA
Transient Ischemic Attack (TIA)
Sepsis
A 25-year-old unresponsive female with a known history of diabetes is found with dry, warm, flushed skin and rapid respirations. Her blood glucose level is 420 mg/dL. During your secondary assessment, which finding would most strongly support a diagnosis of diabetic ketoacidosis (DKA)?
Crackles (rales) heard in both lungs upon auscultation
Cool, clammy skin
Bradycardia with pinpoint pupils
Abdominal tenderness and generalized muscle pain
Which of the following is a soft tissue injury that may be completely detached or hang as a flap?
An avulsion injury
An amputation injury
A subluxation injury
An evisceration injury
You are called to a residence for a four-month-old infant who began choking while bottle-feeding. Upon arrival, you find the infant gagging, coughing, and bleeding slightly from the mouth. You prepare to suction the airway using a bulb syringe and portable suction unit.
What is the maximum recommended suctioning duration per attempt to minimize complications?
Until the airway is clear
10 seconds
15 seconds
30 seconds
A 35-year-old female presents with sudden onset dyspnea, hypotension, and distended neck veins. Breath sounds are decreased on the right side, and tracheal deviation is noted to the left. Which of the following findings is indicative of obstructive shock?
Select the two answer options that are correct.
Warm, flushed skin with bounding pulses
Tracheal deviation with decreased breath sounds
Distended neck veins with hypotension
Clear lung fields with hyperresonance
Bradycardia with hypertension
Which of the following is a common side effect of nitroglycerin?
Nausea
Drowsiness
Headaches
Hypertension
Which of the following conditions can lead to hyperventilation? Select all that apply
Anxiety
Fever
Opioid overdose
Aspirin overdose
A 17-year-old male was struck on the side of the head. Police found him unconscious and called for EMS assistance. By the time they arrive, the patient has regained consciousness and states that he is fine. During the primary assessment, there is no obvious bleeding or airway compromise, and his breathing is fine. As EMS proceeds, he becomes obtunded and subsequently loses consciousness.
What is the likely cause of this patient's sudden decline?
Subdural hematoma
Subarachnoid hemorrhage
Severe concussion
Epidural hematoma
A 56-year-old male patient with a cardiac history complains of substernal chest pain. Which question is asked to assess the “O” portion of the OPQRST mnemonic?
"What were you doing when the pain began?"
"How long has this been occurring?"
"When did these symptoms start?"
"Have you ever had these symptoms before?"
A patient is exposed to a chemical that overstimulates the parasympathetic nervous system. Which of the following signs is expected?
Bradycardia
Cool, clammy skin
Bronchodilation
Tachycardia
A 32-year-old male was involved in a construction accident. He is unconscious and has snoring respirations. The patient has an obvious wound on his left upper arm that is bleeding profusely with bright red, spurting blood. What is the EMT's most appropriate next step after ensuring scene safety and donning appropriate protective gear?
Apply oxygen by nonrebreather mask
Place an oral airway
Apply a tourniquet to the left arm
Assist ventilations with a bag-mask device
A patient with a head injury opens their eyes spontaneously, speaks in a confused manner, and withdraws from pain. What is their Glasgow Coma Scale (GCS) score?
15
12
10
7
In which of the following scenarios is oral glucose most appropriate?
A 48 YOF who is behaving erratically after falling and hitting her head
A 72 YOF with a long-standing history of diabetes who is unconscious and has snoring respirations
A 58 YOF who is acting intoxicated and takes injectable insulin
A 38 YOF who reports being intoxicated and complains of dizziness
A trauma patient has sustained several fractures. Which of the following fractures would be considered the most critical injury?
Pelvic fracture
Closed femoral shaft fracture
Open tibia fracture
Angulated humerus fracture
You are treating a 35-year-old male who fell 20 feet from a roof. Initially, he is alert and oriented. As you are loading him into the ambulance, he begins to vomit, his skin becomes pale, and his blood pressure drops to 88/60 mmHg. What do these changes most likely indicate?
Closed head injury
Internal hemorrhage
Diabetic emergency
Pain reaction
You are reassessing a patient with suspected cardiogenic shock. Which findings most clearly indicate that the patient's condition is deteriorating?
Select all answer options that are correct
Mental status becoming less responsive
Skin appearing pale or mottled
Bounding pulses in the extremities
Capillary refill time under two seconds
Pulse pressure narrowing over time
A 47-year-old female complains of abdominal pain. When palpating her left lower quadrant she reports pain in her right lower quadrant, and reports relief of pain when you press on the right lower quadrant. She has a mild fever, reports the pain worsens when she walks or coughs, and denies diarrhea. She had one episode of vomiting and feels nauseated. She reports no recent travel or sick contacts. Vital signs: BP 118/76, HR 96, RR 18, Temp 100.8°F, SpO2 98% on room air.
What do you suspect is most likely
Diverticulitis
Appendicitis
Gasteroenteritis
Ectopic pregnancy
Following a motor vehicle collision, which of the following patients should be transported to the hospital first?
An adult with diminished left lung sounds and JVD
An adolescent patient with suspected spinal cord injury and lower extremity paralysis
A child with significant seatbelt bruising across their chest
An elderly patient with bilateral open lower extremity fractures
